预测心血管疾病风险的非侵入性评分方法研究进展

Research progress on non-invasive evaluation methods for predicting risk factors of cardiovascular disease

危险因素的集聚和相互作用会引发心血管疾病风险,这些认识导致多变量风险预测评分的发展。风险评分利用多种危险因素,且具无创性特点,在表现出一定早期风险识别能力的同时减少了医疗成本。目前这些评分方法主要有Framingham评分法、JBS评分法、ASSIGN评分法、QRISK评分法、SCORE评分法、PCE评分法及我国评分等等。尽管风险评分具有一定预测价值,但评分仍存在高估、低估以及适用人群受限等问题,对最佳的风险预测模型没有统一意见,有待将来更新和完善。

The accumulation and interaction of risk factors can lead to cardiovascular disease risks,which leads to the development of multivariate risk prediction assessment.The risk assessment uses multiple risk factors and is non-invasive,and it reduces medical costs while it shows some early risk identification capabilities.At present these scoring methods mainly include Framingham estimate method,JBS estimate method,ASSIGN estimate method,QRISK estimate method,SCORE estimate method,PCE estimate method and Chinese estimate method,etc.Although the risk assessment has certain predictive value,it still has some problems such as overestimation of risks,underestimation of risks and limitation of applicable population.There is no consensus on the best risk prediction model,which needs to be updated and improved in the future.